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Clinical Crossroads Update
November 10, 2004

A 46-Year-Old Man With Anxiety and Nightmares After a Motor Vehicle Collision, 2 Years Later

JAMA. 2004;292(18):2262. doi:10.1001/jama.292.18.2262

In a Clinical Crossroads article published in September 2002, Murray Stein, MD, discussed a 46-year-old man with posttraumatic stress disorder (PTSD).1 The patient, Mr M, had physical and emotional symptoms resulting from his involvement in 3 motor vehicle collisions that occurred in the previous 2 years. In addition to persistent pain, he experienced insomnia, fear, difficulty concentrating, nightmares, profound fatigue, and diffuse anxiety.